CORRELATION BETWEEN BODY COMPOSITION BLOOD PRESSURE IN COLLEGE MALES Toshimitsu Yukio Ebisu, Ed.D.*, Ishikawa***, Hironori Kondo*****, Toshihiro Hiroshi Koichiro Kano*, Kinoshita, AND Ph.D.**, Nunome****, Taiichi Sugahare, and Kuniyoshi Kobayashi* ABSTRACT The purpose of this study is to clarify whether in college subjects males can be correlated. in this study. Forty five students, have eaten lunch an hour before (LBM), body weight, concerning body composition. and mean blood pressure As a result average however, and Rohrer Systolic groups Differences Also, differences below average and the excellent blood pressure between groups, as dependent lean variables pulse pressure, LBM and pulse pressure between was the below average groups of %Fat the poor and below average and between at four on blood pressure. between and above average thickness body fat (%Fat), blood pressure, as the variables coefficient of systolic the average of pulse pressure were determined to be they were found to Skinfold Percent diastolic volunteered because measurement. Index were also determined and between were excluded blood pressure, and blood pressure male students and iliac crest was measured. of this study, the correlation found to be significant. and thirty the blood pressure places, biceps, triceps, subscapula, body mass or not body composition One hundred and were significant. grous, between the average and the excellent which influence blood pressure the groups of LBM were significant. Therefore, factors not only body weight muscle contained elements concerning body composition and the amount seem to be of body fat but also LBM. In other words, the amount in a body may affect blood pressure, of LBM seem not to be so varied among especially pulse pressure, of since other individuals. INTRODUCTION Concerning " have individuals already have because which However, the hearts individuals disease. Lamb') * * * on blood indicates as hypertension obese reported hypertension. of the burden is a study such the relationship been Faculty Yamada that and Nozaki suffer from also mentioned of Education, and vessels and blood Hirao individuals of obese and Sugiyamamn due to increases obese and lungs Nozaki in body chronic nephritis, that persons have Sugiyamat" cerebral a great Fukui University Faculty of School Education, Takefu Higashi Elementary Elementary Hyogo University of Teacher School School — 22 --- Education risk research studies"."•'" mentioned that this to be seems On the other have are burdened cirrhosis, obese that weight. always and some Yoshitoshi" indicated do not individuals mellitus.18' pressure, Kasei Junior College * * * Shikatani obesity . Asaka" and diabetes * * * * * * * * * between hand, obese true there hypertension." and cannot pointed resist out hemorrhage, of suffering from diseases that many and heart coronary heart disease, hypertension, diabetes and other ailments. Ebisu" indicated that risks of obesity by showing significant correlations between %Fat and variables like total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C)/LDL-C, and HDL-C/TC. These obese individuals are now seen in not only middle aged people" but also children and students'°1"2),and youths"). And it was reported that approximately one hundred out of eighteen hundred regular medical examinees had hypertension in Fukui University last year.") The purpose of this study is to clarify whether or not body composition and blood pressure in college males can be correlated. MATERIALS AND METHODS One hundred and thirty male students volunteered to be subjects in this study. However, forty five students were excluded because they were found to have eaten lunch an hour before the blood pressure measurement. Matsuda') approximately indicated that systolic blood pressure increases 6 through 8 mmHg from the end of a meal to about one hour after eating. Therefore, eighty five subjects were actually used in this study. Skinfold thickness at four places, biceps, triceps, subscapula, and iliac crest was measured by using the procedure Durnin and Womersley41 described. The measurement areas were described by Allsen et al." Briefly, the measurements made at the anatomical areas were as follows: biceps, fold a point halfway between the armpit and the elbow joint with the arm relaxed and hanging in extension; triceps, fold a point halfway between the tip of the acromion process and the tip of the olecranon process with the elbow at a 90 degree angle with the arm relaxed and hanging in extension; subscapula, fold the tip of the scapula on a diagonal plane; and iliac crest, fold over the iliac crest at the mid auxiliary line. This procedure is widely used in studies of body composition through skinfold thickness. These measurements were done on the right side of the body with the subject standing in a relaxed condition by using Eiken Style Improved Skin Calipers. Two of the researchers in this study actually measured following the procedure described in their pilot study which showed the reliability of the measurements was significant and values from these showed significant and almost perfect correlation. Variables on body composition in this study are: %Fat, LBM, body weight, and Rohrer Index. Blood pressure was measured by using a digital sphygmomanometer called Health Stop Digital by Nissei, Inc. following a period of fifteen minutes of complete rest for each subject. Variables on blood pressure in this study are: systolic blood pressure, diastolic blood pressure, pulse pressure, and mean blood pressure. All of the measurements in this study were done toward the end of January, 1981 in the Faculty of Education, Fukui University. All of the blood pressure measurements were done almost at the same time in each day because blood pressure is known to show a circadian rhythm. deVries" indicated that blood pressure tends to rise from low point during to a high point (15 to 20 mmHg higher) after the evening meal. Furthermore, as Ganone indicated, in apparently healthy humans both the systolic and the diastolic pressures rise with age. Therefore, subjects in this study were aged between eighteen and twenty four years. The mean age was 19.4± 1.1 years old. All subjects in this study were males because as Selkurt191indicated, systolic and diastolic pressures vary with the sex of the subject . — 23 — RESULTS The results standard of this study are shown deviation values correlation coefficients correlation between Table groups subjects of the body composition LBM and pulse pressure 3 illustrates of various F-values ranging 5. Table to the blood pressure. of variance the subjects ranging To explain 1. Mean and the subjects that in detail, measurement %Fat 13. 78 3. 73 LBM 52. 34 the subjects 7 .20 12 .35 (%) 132. 4 12 .9 (mmHg) 72. 9 12 .0 (mmHg) 59. 5 15 .7 (mmHg) Pulse P. 102. 62 (mmHg) 9 .66 (n,=.85) where : %Fat=percent body fat LBM=lean body mass Wt. =weight I. =index B.P. = blood pressure P.=pressure Table 2. Correlation Coefficients of Body Composition LBM Body to Blood Pressure %Fat Systolic B.P. Diastolic Pulse Mean (n=85) — 0 .028 0. 204 .050 — 0 . 100 B.P. P. B.P. — 0.015 —o .049 * significance 0. 244* 0.073 at the 0.05 level --24— — 0 Wt. Rohrer from one values who had relative group (kg) 61. 30 123. 15 Mean B.P. measurement (kg) Rohrer I. B.P. all of the of all of the values ranging 4 .71 Body Wt. B.P. 2, the in all the variables Values SD Systolic among the data who had relative M Diastolic As seen in Table five to fifty one. The fourth Deviation Standard 2 indicates were divided into five groups of seventeen. who had relative from thirty all mean and Table of blood pressure to thirty four. The third group contained values 1 presents and the blood pressure. is significant. the subjects The second group contained Table 1 through order from the least to the greatest in this study. Furthermore, from eighteen measurement levels. in ascending The first group contained to seventeen. by analysis body composition was arranged determined on Tables of the body composition I. 0 .078 — 0 . 131 .115 — 0 . 172 .152 o. 023 —0 .020 — 0 . 194 contained the subjects who had relative fifth group contained measurement the subjects who had relative to eighty five. According significant Table among values ranging to Table 3, F-values the groups 3. F - values measurement of systolic by Analysis Systolic of Variance of Blood Pressure B.P. %Fat 2.8523* LBM Body Wt. Rohrer significance • • significance and pulse pressure are Diastolic among All of The Levels B.P. Pulse P. Mean B.P. 0.5961 1 7775 1 4584 0.2161 1.7577 3 8437** 1 8636 1.4176 0.9286 2 1772 0 6133 1.6843 1.0406 1 5535 1 2770 at the 0.05 level at the 0 .01 level Table 4 indicates whether or not differences groups of various %Fat levels are significant. pressure between the below average average groups of ^Fat of systolic blood pressure among all of the five As seen in the table, differences and average groups and between are or not differences various LBM levels between the poor and below average significant. and between the average Table 4. Differences The of pulse pressure According groups, to the table, between and the excellent of Systolic Groups Groups vs. of Various among differences groups poor average poor above average between All of 0 73436 1 78793 average 0 80837 excellent 0 91377 below average average 2 31447* below average above average excellent poor average 0 02105 1 59109 average above average excellent 1 08166 excellent 1 73915 average * significant difference average at the 0.05 level — 25 — of pulse 2 46254* of pressure and the excellent of LBM are significant. Groups below above and above all of the five groups the below average Blood Pressure %Fat Levels poor below of systolic blood the average are significant. Table 5 shows whether groups, values ranging from sixty nine blood pressure of %Fat and LBM, respectively. Groups of Various Body Composition I. from fifty two to sixty eight. And the Table 5. Differences Groups Groups of Pulse Pressure of Various LBM Levels VS. Groups poor below poor average poor above between All of The t average 2.07421* 0.63478 average 0.17794 excellent 1.60846 below average average 1.45069 below average above below average excellent poor average 1.76256 3.62276** average above average excellent 2.23283* excellent 1.70242 above average average 0.41847 significant difference at the 0.05level •• significant difference at the0.01level CONSIDERATION A significant correlation coefficient exists only between LBM and pulse pressure as shown in Table 2. To discuss that in detail, the positive coefficient between LBM and systolic blood pressure which is significant only at 0.1 level and the negative coefficient between LBM and diastolic blood pressure influence pulse pressure significantly at the 0.05 level. Nakamura"' summarized the relationship between obesity and high blood pressure and indicated that the relation between the level of obesity and systolic blood pressure is often stronger than the relation between the level of obesity and diastolic blood pressure and that blood pressure often shows relationships to not only skinfold thickness and the level of obesity but also body weight. His indication, however, does not fit the results of this study since neither systolic nor diastolic blood pressure shows significant correlation to %Fat, body weight, and Rohrer index. Youth people, subjects in this study, seem not to show a tendency like his indication. This is supported by Steen and Montagu") who found that an increase in body weight after age 60 is usually accompanied by a rise in blood pressure. Concerning the relationship between LBM and blood pressure, Kuroda") mentioned that basketball players (16.66%), Judoists (13.93%), wrestlers (13.63%), oarsmen (8.95%), swimmers, canoeists, rugby players and so forth frequently showed systolic blood pressure of 140 mmHg or higher. Judoists and wrestlers are usually muscular and considered to have more LBM. From Kuroda's indication, the correlation between LBM and systolic blood pressure in this study is understandable. Two major factors which affect the pulse pressure have been indicated as follows by Guyton7): (1) the stroke volume output of the heart and (2) the compliance (total distensibility) of the arterial tree; a third less important factor is the character of ejection from the heart during systole. Further studies are, however, necessary to indicate why only pulse pressure and LBM showed a significant correlation. Significant differences of systolic blood pressure and pulse pressure among all of the five groups of various %Fat and LBM levels are clearly shown in Tables 4 and 5, respectively. Selkurt19) indicated that systolic and diastolic pressures are directly related to the weight of the — 26 — {• r" 乖 唱 撃 ・°・(、 = イ.・ subject. Factors, concerning body composition, which influence only body weight and the amount muscle in a body may affect blood pressure, contained elements with urinary muscle and/or Finally especially, of subjects significant .JAPANESE creatinine will be necessary pulse pressure Further to clarify research the relation of since other such as a study of the amount of LBM to blood pressure. the classification the blood pressure number seem to be not of body fat but also LBM. In other words, the amount of LBM seem not to be so varied among individuals. accompanied blood pressure variables of %Fat among all of the categories in each category differences Allsen et al." adapted was much varied was applied and differences of %Fat were calculated. and no blood pressure of all However, variable the showed in any of the categories. ABSTRACT 本 研 究 の 目 的 は,男 子 大 学 生 に お い て 身 体 組 成 と血 圧 に 相 互 関 係 が 存 在 す る か 否 か を 明 らか に す る こ とで あ る。健 康 な 男 子 学 生130名 の 身 体 組 成 及 び血 圧 を 測 定 し た が,う ち45名 は 血 圧 測 定 前1時 間 以 内 に 昼 食 を 摂 っ た こ と が わ か り,被 験 者 か ら 削 除 し た。 従 って,85名 重,体 重,ロ ー レ ル 指 数,最 本 研 究 の 結 果,除 て,血 低 血 圧,脈 圧,平 脂肪体 均 血 圧 を 分 析 した 。 脂 肪 体 重 と脈 圧 間 の 有 意 な相 関 関 係 が 明 らか に な っ た 。 さ ら に,脂 少 な い 群 と普 通 群 間,普 い群 問,少 高 血 圧,最 の 脂 肪 百 分 率,除 肪百 分率 の 通 群 と多 い 群 間 の最 高 血 圧 に 有 意 差 を,除 脂 肪 体 重 の 最 も少 な い 群 と少 な な い 群 と最 も多 い 群 間,普 通 群 と最 も 多 い 群 間 の 脈 圧 に そ れ ぞ れ 有 意 差 を 示 した 。 従 っ 圧 に 影 響 を 及 ぼ す 身 体 組 成 因 子 は,体 重 や 体 脂 肪 だ け で な く,除 脂 肪 体 重 も含 ま れ る こ と が 明 らか に な っ た 。つ ま り,除 脂 肪 体 重 中 の 筋 肉 以 外 の 要 因 は相 対 的 に あ ま り相 違 が な い よ うで あ り, 男 子 大 学 生 に お い て は 筋 肉 量 が 血 圧,特 に 脈 圧 に 影 響 を 与 え る も の と 考 え られ る。 REFERENCES 1 . Allsen, P. E.; J. M. Harrison; and B. Vance, Fitness for Life: an individualized approach, Wm. C. Brown Co., 1976. 2 . Asaka, K., Relationship between Blood Pressure and Physique. In Aiming for Ideal Health, ed. K. Hirata, Hirata Institute of Health, 1962, pp. 406-408. 3 . deVries, H. A., Physiology of Exercise for Physical Education and Athletics, 2nd ed., Wm. C. Brown Co., Publishers, 1975. 4 . Durnin, J. V. G. A., and J. Womersley, "Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years," Br. J. Nutr. 32:77-97, 1974. 5. Ebisu; T., "Correlation between blood lipids, body composition and cardiovascular endurance," Educational Medicine (Kyoiku Igaku) 28-1,2:18-27, 1982. 6 . Ganong, W. F., Review of Medical Physiology, 8th ed., LANGE Medical Publications, 1977. 7 . Guyton, A. C., Textbook of Medical Physiology, 5th ed., W. B. Saunders Co., 1976. 8 . Hatano, Y., Physical Fitness Care for The Middle Aged and Elderly, Tairyu-sha, 1978. 9. Hirao, M., and M. Yoshitoshi, Epidemiological Statistics of Obesity, In Aiming for Ideal Health, ed. K. Hirata, Hirata Institute of Health, 1962. 10. Hirata, K., Number 110 to Promote Physical Fitness for Children, Aoyama Shobo, 1979. 11. Ito, K., "For individuals with juvenile high blood pressure," Guide to Health (Ifenkoh No Shiori) 4, Health Care Center, Fukui University, 1982. --27— 12 . Kaku, K., "Growth in infants and an evaluating table of fat-lean: study by data in 13 . Katsuki, S., Health and Promoting Physical Fitness: Conquest of diseases caused by lack of schoolchildren of London in 1949," Pediatrics Therapy (Shonika hyo) 43-3: 84-92, 1980. exercise as a disease of civilization, Kohsei-kan, 1969. 14 . Kuroda, Y., Sports and Circulatory Disease, In Introduction of Sports Medicine, eds. T. Kodama, M. Ikai, T. Ishiko, and Y. Kuroda, Nanzando, 1969, pp. 273-311. 15 . Lamb, D. R, Physiology of Exercise: responses and adaptations, Macmillan Publishing Co., Inc., 1978. 16 . Matsuda, K., Arterial Circulaton, In Textbook of Modern Physiology, Volume II, eds. N. Toida and K. Uchizono, Igaku Shoin Ltd., 1961, pp. 127-138. 17 . Nakamura, H., "Obesity and high blood pressure," Health Care 19-5: 290-292, 1977. 18 . Nozaki, Y., and F. Sugiyama, Diet Therapy of Obesity, Hokendojin-sha, 1973. 19 . Selkurt, E. E., Physiology, 4th ed., Little, Brown and Company Boston, 1976. 20 . Steen, E. B., and A. Montagu, Anatomy and physiology, Volume 1, Barnes & Noble, Inc., A Division of Harper & Row, Publishers, 1959. — 28 —
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